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1730400359
MATTHEW THOMAS BAUER
FPO, AP
NPI
1730400359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-06-17
Last Update Date
2015-11-16
Business Address
Mr. MATTHEW THOMAS BAUER IDC
USS BOXER LHD 8
FPO, AP 96667
Phone number: 619-556-4122
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Mailing Address
Mr. MATTHEW THOMAS BAUER IDC
USS BOXER
SAN DIEGO, CA 92136-7112
Phone number: 619-556-4122
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